| NPI | 1740045939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA WOGU President 707-266-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |